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Evidence Guide: HLTDEP002 - Gather data, conduct dental prosthetic examination and develop treatment plan

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

HLTDEP002 - Gather data, conduct dental prosthetic examination and develop treatment plan

What evidence can you provide to prove your understanding of each of the following citeria?

Elements define the essential outcomes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Obtain a complete patient history

  1. Obtain accurate, complete and legal records of the patient’s personal, medical and dental history
  2. Check accuracy of information with the patient or where appropriate with their carer or guardian
  3. Verify information with appropriate practitioner, where required by relevant guidelines or legislation
Obtain accurate, complete and legal records of the patient’s personal, medical and dental history

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Check accuracy of information with the patient or where appropriate with their carer or guardian

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Verify information with appropriate practitioner, where required by relevant guidelines or legislation

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Consult medical history of patient

  1. Consult and use appropriate medical history in determining requirements for removable dental prosthetic treatment
  2. Consult patient, carer or guardian about medical history to ensure it is accurate and current
Consult and use appropriate medical history in determining requirements for removable dental prosthetic treatment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Consult patient, carer or guardian about medical history to ensure it is accurate and current

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Obtain and record patient data

  1. Record relevant information legibly, accurately and completely
  2. Assist patient, carer or guardian to complete data forms as required
  3. Obtain and document consent following ethical and legal requirements
  4. Obtain patient, carer or guardian’s signature to signify accuracy of the statement
  5. Maintain patient confidentiality
Record relevant information legibly, accurately and completely

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist patient, carer or guardian to complete data forms as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Obtain and document consent following ethical and legal requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Obtain patient, carer or guardian’s signature to signify accuracy of the statement

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Maintain patient confidentiality

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assess oral status for removable dental prosthetic procedures

  1. Assess intra-oral status accurately in accordance with relevant guidelines and legislation
  2. Modify examination procedures according to the specific needs of the patient
  3. Where necessary, identify the need to refer patient for examination by a dentist
Assess intra-oral status accurately in accordance with relevant guidelines and legislation

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Modify examination procedures according to the specific needs of the patient

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Where necessary, identify the need to refer patient for examination by a dentist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Develop a removable dental prosthetic treatment plan

  1. Interpret and evaluate the results of removable dental prosthetic examination
  2. Consider the patient’s medical, medication and dental history when developing a treatment plan
  3. Make prosthetic assessment in accordance with organisation procedures
  4. Consult dentist or doctor where appropriate and in accordance with legislative guidelines
  5. Refer patient to dentist or doctor where appropriate
  6. Observe centric and eccentric mandibular movements
Interpret and evaluate the results of removable dental prosthetic examination

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Consider the patient’s medical, medication and dental history when developing a treatment plan

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Make prosthetic assessment in accordance with organisation procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Consult dentist or doctor where appropriate and in accordance with legislative guidelines

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Refer patient to dentist or doctor where appropriate

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Observe centric and eccentric mandibular movements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Obtain patient, carer or guardian consent

  1. Involve the patient, carer or guardian in discussions about their treatment using language that is understandable to them
  2. Provide full details about removable dental prosthetic treatment and alternative options and the risks and benefits of the treatment
  3. Allow sufficient time to discuss treatment options with patient, carer or guardian
  4. Help patients understand the effects of treatment or no treatment, and to clarify their preferences
  5. Ensure flexibility of patient services that consider the patient’s special needs
  6. Obtain and document consent following ethical and legal requirements
Involve the patient, carer or guardian in discussions about their treatment using language that is understandable to them

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide full details about removable dental prosthetic treatment and alternative options and the risks and benefits of the treatment

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Allow sufficient time to discuss treatment options with patient, carer or guardian

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Help patients understand the effects of treatment or no treatment, and to clarify their preferences

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure flexibility of patient services that consider the patient’s special needs

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Obtain and document consent following ethical and legal requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Obtain a complete patient history

1.1 Obtain accurate, complete and legal records of the patient’s personal, medical and dental history

1.2 Check accuracy of information with the patient or where appropriate with their carer or guardian

1.3 Verify information with appropriate practitioner, where required by relevant guidelines or legislation

2. Consult medical history of patient

2.1 Consult and use appropriate medical history in determining requirements for removable dental prosthetic treatment

2.2 Consult patient, carer or guardian about medical history to ensure it is accurate and current

3. Obtain and record patient data

3.1 Record relevant information legibly, accurately and completely

3.2 Assist patient, carer or guardian to complete data forms as required

3.3 Obtain and document consent following ethical and legal requirements

3.4 Obtain patient, carer or guardian’s signature to signify accuracy of the statement

3.5 Maintain patient confidentiality

4. Assess oral status for removable dental prosthetic procedures

4.1 Assess intra-oral status accurately in accordance with relevant guidelines and legislation

4.2 Modify examination procedures according to the specific needs of the patient

4.3 Where necessary, identify the need to refer patient for examination by a dentist

5. Develop a removable dental prosthetic treatment plan

5.1 Interpret and evaluate the results of removable dental prosthetic examination

5.2 Consider the patient’s medical, medication and dental history when developing a treatment plan

5.3 Make prosthetic assessment in accordance with organisation procedures

5.4 Consult dentist or doctor where appropriate and in accordance with legislative guidelines

5.5 Refer patient to dentist or doctor where appropriate

5.6 Observe centric and eccentric mandibular movements

6. Obtain patient, carer or guardian consent

6.1 Involve the patient, carer or guardian in discussions about their treatment using language that is understandable to them

6.2 Provide full details about removable dental prosthetic treatment and alternative options and the risks and benefits of the treatment

6.3 Allow sufficient time to discuss treatment options with patient, carer or guardian

6.4 Help patients understand the effects of treatment or no treatment, and to clarify their preferences

6.5 Ensure flexibility of patient services that consider the patient’s special needs

6.6 Obtain and document consent following ethical and legal requirements

Required Skills and Knowledge

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Obtain a complete patient history

1.1 Obtain accurate, complete and legal records of the patient’s personal, medical and dental history

1.2 Check accuracy of information with the patient or where appropriate with their carer or guardian

1.3 Verify information with appropriate practitioner, where required by relevant guidelines or legislation

2. Consult medical history of patient

2.1 Consult and use appropriate medical history in determining requirements for removable dental prosthetic treatment

2.2 Consult patient, carer or guardian about medical history to ensure it is accurate and current

3. Obtain and record patient data

3.1 Record relevant information legibly, accurately and completely

3.2 Assist patient, carer or guardian to complete data forms as required

3.3 Obtain and document consent following ethical and legal requirements

3.4 Obtain patient, carer or guardian’s signature to signify accuracy of the statement

3.5 Maintain patient confidentiality

4. Assess oral status for removable dental prosthetic procedures

4.1 Assess intra-oral status accurately in accordance with relevant guidelines and legislation

4.2 Modify examination procedures according to the specific needs of the patient

4.3 Where necessary, identify the need to refer patient for examination by a dentist

5. Develop a removable dental prosthetic treatment plan

5.1 Interpret and evaluate the results of removable dental prosthetic examination

5.2 Consider the patient’s medical, medication and dental history when developing a treatment plan

5.3 Make prosthetic assessment in accordance with organisation procedures

5.4 Consult dentist or doctor where appropriate and in accordance with legislative guidelines

5.5 Refer patient to dentist or doctor where appropriate

5.6 Observe centric and eccentric mandibular movements

6. Obtain patient, carer or guardian consent

6.1 Involve the patient, carer or guardian in discussions about their treatment using language that is understandable to them

6.2 Provide full details about removable dental prosthetic treatment and alternative options and the risks and benefits of the treatment

6.3 Allow sufficient time to discuss treatment options with patient, carer or guardian

6.4 Help patients understand the effects of treatment or no treatment, and to clarify their preferences

6.5 Ensure flexibility of patient services that consider the patient’s special needs

6.6 Obtain and document consent following ethical and legal requirements

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has completed the following tasks:

• performed the activities outlined in the performance criteria of this unit during a period of at least 240 hours of work in a clinical dental workplace environment

• followed procedures to ensure patient safety during examinations

• performed an intra-oral and an extra-oral examination on at least 4 patients

• communicated effectively, interactively, respectfully and reflectively with patients in a manner that takes into account factors such as their age, intellectual development and social and cultural background

• explained the treatment plan and the limitations of treatment for 4 patients using language that is easily understood by the patient

• maintained legible and accurate maintenance records for 4 different patients.

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the work role. This includes knowledge of:

• Australian/New Zealand Standards, workplace health and safety (WHS) policies, current Dental Board of Australia infection control guidelines, Commonwealth and State/Territory legislation requirements, and organisation policies and procedures relating to dental laboratory work

• relevance of medical conditions and medications that can impact on oral health or make the provision of dental treatment unsafe national and State/Territory legal and ethical requirements and considerations for dental assisting work including:

­ codes of practice

­ discrimination

­ duty of care

- informed consent and statutory requirements of consent

­ privacy, confidentiality and disclosure

­ records management

­ work role boundaries – responsibilities and limitations

­ work health and safety

• oral pathology, including:

- benign lesions of bone

- dental caries and periodontal disease

- infectious diseases including bacterial, fungal and viral infections

- inflammation

- oral cancer

- pathology of dental caries and periodontal disease

- physical injuries to soft tissue including burns and ulceration

- reactive connective tissue including hyperplasia

- regeneration and repair

- signs and symptoms of infectious diseases that affect the oral cavity including oral fungal and bacterial infections

- the causes of dental caries and periodontal disease

- the role of bacteria, diet and dental plaque

• considerations when using dental and medical records and charts including:

- confidentiality of patient records

- notation systems and charting symbols for tooth surfaces, cavities and other dental problems in accordance with codes and guidelines

- items that constitute a dental record

- knowledge of correct dental terminology and how it is used in dental charting

- the purpose and requirements for maintaining accurate records of examination, treatments, materials used and drugs and medicaments prescribed

- the reasons for taking radiographs and photograph

• components of intra-oral and extra-oral examination

• retracting soft tissues and moisture control:

- methods of retracting and protecting soft tissue

- methods for providing a clear field of vision

- methods for controlling moisture

• normal variance of structure and function of dental prosthetic devices

• procedures and rationale for referral

• specific considerations when dealing with patients who are elderly or aged, including:

- fundamental knowledge of systemic disease including angina, congestive heart failure, stroke, Parkinson’s disease, diabetes, osteoporosis, arthritis, nutritional deficiencies

- fundamental knowledge of the relationship between nutrition and the efficiency of the dentition

- psychological changes

- xerostomia produced by certain medications and its adverse effects on denture retention and comfort

• cultural issues which may affect dental examinations and treatment.